Healthcare Provider Details

I. General information

NPI: 1316210602
Provider Name (Legal Business Name): ANNE HARRIS LCSW INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 02/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 N 31ST ST STE 107
BILLINGS MT
59101-1256
US

IV. Provider business mailing address

490 N 31ST ST STE 107
BILLINGS MT
59101-1256
US

V. Phone/Fax

Practice location:
  • Phone: 406-860-3754
  • Fax:
Mailing address:
  • Phone: 406-860-3754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number194
License Number StateMT

VIII. Authorized Official

Name: ANNE HARRIS
Title or Position: OWNER
Credential: LCSW
Phone: 406-860-3754